Jafarian Amir Hosein, Rahpeyma Amin, Khajehahmadi Saeedeh
Dept. of Pathology, Mashhad University of Medical Sciences, Mashhad, Iran ; Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran ; Dept. of Oral and Maxillofacial Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Pathol. 2015 Spring;10(2):160-4.
The glandular odontogenic cyst (GOC) is a rare lesion with odontogenic origin. It shows a propensity for recurrence revealed in 30% of all case. This investigation reports a case of recurrent GOC in a 35-year-old female in the anterior region of the maxilla, which is uncommon and discusses about IHC finding, surgical methods, and differential diagnosis. Under general anesthesia, peripheral bone ostectomy via large round bur for removal of remaining epithelium of the cyst wall was done. Finally liquid nitrogen was used to remaining bone. This article recommends that soft tissue adjacent to the cortical bone perforation should be excised, as well as peripheral bone ostectomy by large round bur for removal of remaining epithelium of the cyst and liquid nitrogen application to the bony cavity. Because of high recurrence rate of the lesion close follow up of the patients is needed.
腺源性牙源性囊肿(GOC)是一种起源于牙源性的罕见病变。它有复发倾向,在所有病例中有30%会出现复发。本研究报告了一例35岁女性上颌前部复发性GOC病例,该部位并不常见,并讨论了免疫组化结果、手术方法及鉴别诊断。在全身麻醉下,使用大的圆钻进行周边骨切除术以去除囊肿壁的残留上皮。最后对残留骨使用液氮处理。本文建议应切除皮质骨穿孔附近的软组织,以及用大的圆钻进行周边骨切除术以去除囊肿的残留上皮,并对骨腔应用液氮。由于该病变复发率高,需要对患者进行密切随访。